Treatment of Chronic Plaque Psoriasis with Etanercept and Methotrexate

Treatment of Chronic Plaque Psoriasis with Etanercept and Methotrexate

Husam A. Salman1, Fatema A. Al-Jaralla2, Rana K. Obeed3

1Department of Dermatology, College of Medicine, University of Baghdad. Iraqi and Arab Board for Dermatology &Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq. 2Department of Dermatology, College of Medicine, University of Baghdad, Baghdad, Iraq.3Dermatology Center, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq.

Abstract: psoriasis is a chronic multifactorial disease that has negative impact on the patient’s quality of life. Selecting appropriate treatment for each patient must be both effective and relatively safe. Methotrexate and Etanercept are systemic therapies used for moderate – severe chronic plaque psoriasis.

Objective: The aim of study is to assess the efficacy of methotrexate and etanercept in the treatment of chronic plaque psoriasis.

Patients and Methods: This therapeutic, interventional comparative single centre study was carried out at the Centre of Dermatology and Venereology, Baghdad Teaching Hospital, from January 2015 –July 2017. A total of 62 patients were enrolled; divided into two groups. Group I: Thirty-three patients (23 males and 10 females), their ages ranged between 15 and 65 years mean ±SD 33.13±13.07, received etanercept 50mg twice weekly for 3 months then once weekly thereafter. Group II: Twenty-nine patients (19 males and 10 females), their ages ranged between 15 and 62 years mean±SD 38.16±15.2, received methotrexate 15 mg per week for six months then tapered. Both groups were followed up monthly for 6 months and their PASI score, DLQI, side effect and pictures were recorded.

Results: Seven patients defaulted from the study for unknown reason,30 patients completed in etanercept group, while 25 patients completed in methotrexate group. After 12 weeks the PASI score decrease from baseline 19.13±10.67 to 6.38±4.96 and then to 3.34±5.38 after 24 weeks treatment with Etanercept compared to reduction in PASI score from baseline 18.97±10.54 to 5.72± 4.8 to 2.95±-6.01 after 12 weeks and 24 weeks respectively. There is significant statistical effect in the two groups.

Conclusions: We conclude that both are effective monotherapy for patients with moderate to severe plaque psoriasis with tolerable side effect

Keywords: etanercept; methotrexate; psoriasis.

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How to cite this article:
Husam A. Salman, Fatema A. Al-Jaralla, Rana K. Obeed. Treatment of Chronic Plaque Psoriasis with Etanercept and Methotrexate. American Journal of Dermatological Research and Reviews, 2020, 3:21. DOI: 10.28933/ajodrr-2020-02-2006


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